Goods Return Form

Due to occupational health and safety concerns, any instrument, unless guaranteed unused and in original packaging, must be cleaned, correctly sealed in an autoclave bag or pouch and sterilised along with evidence of completing the sterilisation cycle such as process or other chemical indicators. Items that do not adhere to the above conditions will be immediately returned to you for appropriate cleaning and sterilisation.

Please include a copy of this form with your returned goods.

A credit will not be processed unless all information is completed and this form accompanies goods.

Item(s) Returned For: Credit Repair Replacement

Customer Account Code:
Company Name:
Contact Name: / Contact Number:
Email Address:
Registered Address:
Suburb:
Town/City: / Post Code:
Invoice Number:
Product Code(s):
Reason for return: / Incorrectly ordered / Service/repair * (need more info)
Incorrectly invoiced / Faulty product * (need more info)
Incorrectly picked / Damaged item/packaging * (need more info)
No longer required / Other * (need more info)
* Please explain the reason for your return in this area below

Terms & Conditions

For Terms and Conditions, please see page two (2) of this Goods Return Form.

I have read the Terms and Conditions relating to this Goods Return Form.
Signature / Date

Please include a copy of this form with your returned goods.

Please return goods to: Richards Medical, Unit 7/100 New Street Ringwood VIC 3134

Internal Use Only
Goods
Received
Stamp

Terms & Conditions

Returns & Claims / If goods are to be returned to us due to incorrect supply or are faulty, please return them to us by parcel post and claim the cost of the postage on your credit or refund request.
We will not be responsible for any other freight charges.
We offer a money back guarantee (refund or credit) on unused goods returned in new condition (excluding special buy ins or non-stock items in which case a Fifty Percent (50%) restocking fee is applicable) where these were incorrectly ordered, are no longer required or if you change your mind. A Ten Percent (10%) restocking fee will be applicable.
This is in addition to other rights and remedies available to the consumer under the law.
All claims for damage, short or incorrect supply etc. must be made within Seven (7) days of receipt of goods.
Our goods come with guarantees that cannot be excluded under the Australian Consumer Law. You are entitled to a replacement or refund for a major failure and compensation for any other reasonably foreseeable loss or damage. You are also entitled to have the goods repaired or replaced if the goods fail to be of acceptable quality and the failure does not amount to a major failure.

Please include a copy of this form with your returned goods.

Please return goods to: Richards Medical, Unit 7/100 New Street Ringwood VIC 3134

form_GOODS-RETURN_PM(RM)_v5-0Page 1 | 2